In the hot topic of Weibo, "the end of the ski trail is orthopedics", many netizens recalled their tragic experiences while skiing.
The holding of the Winter Olympics has sparked a wave of ice and snow sports. The increase in bone injuries caused by skiing and skating has attracted the attention of many clinical orthopaedic surgeons, and it has also made "the end of the snow track orthopedics" once popular. hot search.
On the evening of February 10, Zhang Wei, chief physician of the Orthopedics Department of the Sixth People's Hospital of Shanghai, told The Paper (www.thepaper.cn): "Actually, since Beijing's bid to host the Winter Olympics in 2015, the number of people participating in ice and snow sports in China has gradually increased. In addition to the northerners who love skiing, there are also many southerners from Shanghai, Zhejiang and other places who make a special trip to the northeast and other places to ski in winter. However, in recent years, due to skiing, skating, etc., knee injuries, wrist fractures and other diseases have The number of patients has increased significantly."
Zhang Wei believes that any sport has certain risks, and skiing is actually very interesting and full of challenges. "The end of the snow trail should be healthy and happy, which is also the core spirit of any sport."
In the hot topic of Weibo, "the end of the ski trail is orthopedics", many netizens recalled their tragic experiences while skiing.
Clinical: Most of the knee joint and ligament injuries are caused by skiing
"I played on the skating rink for less than 5 minutes, and it was me who broke my wrist"; "I was hit and fractured in the first skiing in 2022, and I liked to carry a steel plate"; "My friends who are skiing have basically all gone to orthopedics. "... In the topic of "Orthopedics at the end of the ski trail", many netizens recalled their tragic experiences while skiing.
In a paper published in the "Journal of Peking University (Medical Edition)" in 2021, scholars analyzed the injuries of popular skiers in a large ski resort in Chongli, China.
This paper collects and organizes the data of injured skiers who visited a medical station in a large ski resort in Chongli during the snow season from November 2017 to March 2018 and the snow season from November 2018 to March 2019.
The results of the study showed that 753 injuries occurred in the two snow seasons, and the average daily injuries per 1000 skiers were 4.53 and 4.46, respectively.
Among the injured skiers in the two snow seasons, the proportion of males was higher than that of females on average, and the injured skiers aged 21-30 accounted for the largest proportion, reaching 36.8%.
Falls (76.6%) were the main causes of injury, and the head and neck (17.9%) had the highest injury probability, followed by knees (17.4%) and wrists and fingers (13.3%).
The most common types of injury were contusion and trauma (29.5%), joint and ligament injury (22.2%).
Clinically, Zhang Wei found that many patients with skiing injuries were beginners and wanted to experience skiing, but they did not have special professional training and no one to protect them. It is at this time that accidents often happen when they are beyond their own abilities.
Zhang Wei further stated that the bone injuries caused by skiing are generally concentrated in joint injuries, especially the knee joints, as well as ligament injuries. The relatively serious ones include calf fractures, rib fractures, coccyx fractures, wrist fractures, etc. Scholars lost their balance and fell to the ground during the skiing process, which may cause a fracture of the coccyx, and if the wrist supports the ground when falling, it may also cause a fracture of the wrist."
Wang Hui, the attending doctor of the Department of Orthopedics, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, also encountered a case of humerus fracture.
This is a young man from other places. He made a special trip to the Northeast to ski during the Spring Festival. He skated a veneer and wore protective gear. However, due to the speed of the skiing, he lost his balance and fell to the ground, with his elbows on the ground. The humerus of the upper limb protected by the protective gear was fractured and dislocated. Currently, he has undergone surgery and is still recovering.
The above-mentioned two doctors both admitted that most of the patients with ski bone injuries currently treated are mostly young and middle-aged people aged 20-40, and there are not many primary and secondary school students.
"Because of the low center of gravity and good flexibility, the younger student group rarely skis directly on the track without training. If guardians are in place, accidents will be reduced, while young people are not accompanied by professional coaches, or lack of protection. Under such circumstances, it is more likely to be dangerous." Wang Hui said.
Even professional skiers will encounter the risk of bone injury. Zhang Wei has encountered it. "A professional ski instructor came to our hospital for treatment before, because the person in front of him had a 'snow-sweeping' situation during the skiing. The ice surface on the ramp was exposed, and the coach eventually slipped and was diagnosed with a tibial plateau fracture in the lower leg, with the articular surface collapsed by more than two millimeters, requiring surgery and a period of rehabilitation."
In a paper published in "Journal of Peking University (Medical Edition)" in 2021, scholars analyzed the injuries of popular skiers in a large ski resort in Chongli, China.
Doctor: Professional training and warm-up to make skiing safer
Zhang Wei admitted frankly that he is also a skiing enthusiast with many years of experience, but he was too daring to go to a high-level track, beyond his ability, and finally walked back down the mountain with a skateboard on his back for more than an hour.
"At present, the public is beginning to pursue ice and snow sports. At this time, health science education is becoming more and more important." Zhang Wei emphasized.
Zhang Wei concluded that judging from the cases he has received clinically over the years, for people without any skiing experience and foundation, they fall on the spot and cause more coccyx fractures, wrist fractures, etc.; for people with some skiing experience For example, once they choose to ski on the track, they often suffer from joint and ligament injuries due to factors such as sliding speed and collision with each other. Large, the risk may be higher, and even lead to cervical spine fractures in severe cases, but this is a very small number of people.
Based on the various risks of ice and snow sports, "the end of the snow track is orthopedics" once rushed to the hot search, but Zhang Wei retorted: such a view is too negative and easily misleading the public.
"Any sport has certain risks. Skiing has relatively few people in China before, and there is not much knowledge about this sport. If there is professional and strict training, everyone can carry out this sport on the basis of understanding their own abilities. As a sport, skiing is actually very interesting and challenging.” Zhang Wei believes that the end of the ski trail should be healthy and happy, which is also the core spirit of any sport.
How to avoid bodily injury from skiing?
Both doctors reminded that you must receive professional guidance and training before skiing. It is best to have a trainer present when you are beginners skiing, and wear professional protective gear that is suitable for you, such as wrist pads, elbow pads, knee pads and hip or hip pads. Hip protectors, helmets, etc., start with the most basic movements and carry out this exercise step by step. Before skiing, you must remember to warm up and do stretching exercises.
Zhang Wei also reminded that for those who have skiing experience, remember not to easily challenge the ski trails beyond their ability, and to understand and familiarize themselves with the ski field map in advance. Go down the snowy slopes or call a professional for help.
Zhang Wei especially reminded that when skiing, you must pay attention to etiquette and rules. Few people will slide in a straight line to the end, and most people will walk in curves. People behind should learn to avoid and reduce the possibility of collision with people in front. may cause physical harm to each other.